Neoplasm(C00-D49)

A neoplasm is a new growth of abnormal tissues in the body, characterized by tumor.

Types of Neoplasm: It is necessary to determine from the record if the neoplasm is benign, ca-in-situ, primary malignant, secondary (metastatic) malignant, uncertain behavior or unspecified behavior

Guidelines of Sequencing: 

• When a patient is admitted because of primary neoplasm with metastasis and treatment should be directly toward the secondary site, in that condition we always code secondary site first then we code primary
• Malignant code always be start from C series
• Benign, Ca-in-situ codes always be started from D series
• Anemia associated with malignancy, we assign the code Anemia in neoplastic disease that is D63.0
• Patient admission/Encounter chiefly for administration of chemotherapy and radiation therapy, so in that condition we assign the Z51 series be primary code.

Sequencing of complications

Reason for encounter                                         Sequencing

Treatment of Primary malignancy          :Primary site then Metastatic sites

Treatment of secondary malignancy      :Metastatic site first then primary sites

Malignant neoplasm in a pregnant patient  :First we code O9A.1- then neoplasm

Complication associated with neoplasm,

treatment is only for the complication                  :First we assign the code                                                                                                complication and then  neoplasm

Anemia associated with neoplasm   :Neoplasm code first then anemia in neoplastic                                                             disease (D63.0)

Complication from surgical procedure for treatment of a neoplasm  :Complication                                                                                                         and then neoplasm

Pathological fracture due to neoplasm  :Code first pathological fracture M84.5                                                                           and  then  neoplasm